Active NPI
Magdy Eskander, MD
- Family Medicine Physician
- Shreveport, LA
National Provider Identifier
1609867415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD200836
- Practice address
- 2724 Greenwood Rd
Shreveport, LA 71109-4635 - Phone
- (318) 212-4750
- Fax
- (318) 212-8435
- NPI assigned
- Nov 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD200836 | LA | |
| Emergency Medicine Physician | 207P00000X | E-4255 | AR | |
| Family Medicine Physician | 207Q00000X | MD200836 | LA | Primary |
| Family Medicine Physician | 207Q00000X | E-4255 | AR | |
| Occupational Medicine Physician | 2083X0100X | MD 200836 | LA |
Addresses
Primary practice location
2724 Greenwood Rd
Shreveport, LA 71109-4635
Mailing address
9627 Gardere Dr
Shreveport, LA 71115-4603
Phone (318) 797-3635
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578801 | Medicaid | LA | |
| 156469001 | Medicaid | AR | |
| 5N113 | Other | AR | BCBS |
Other names 1
- Dr. Magdy Shehata
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD200836 | LA | MD | Emergency Medicine Physician |
| E-4255 | AR | MD | Family Medicine Physician |
| MD 200836 | LA | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WK Urgent Care Center - Bossier | Family Medicine | Past | Accepting new patients |
| Hope-Hempstead Emegency Group LLC | Emergency Medicine | Past | Accepting new patients |
| De Queen Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bossier City, LA
- NPI 1982640884
-
- Critical Access Hospital
- De Queen, AR
- NPI 1154423523
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1235115726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1609867415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9627 GARDERE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711154603",
"telephone_number": "318-797-3635",
"fax_number": "318-797-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2724 GREENWOOD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711094635",
"telephone_number": "318-212-4750",
"fax_number": "318-212-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESKANDER",
"first_name": "MAGDY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-01",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "MD200836",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E-4255",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD200836",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-4255",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "LA",
"license": "MD 200836",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578801",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156469001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5N113",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAGDY",
"last_name": "SHEHATA",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.